HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEI '..D J 12 2076
_a ales
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof `
PROPOSE 'IMPROVEMENT'LOCATION:
Address: 264 NE MAINSAIL ST
Legal Description: RIVER PARK-UNIT 9-PART C BLK 80 LOT 5(MAP 34/21 S)(OR 3082-2573: 3097-2658)
Property Tax ID#: 3419-570-0079-000-1 Lot No.5
Site Plan Name: Block No. 80
Project Name:
Setbacks. Front Back: Right Side: Left Side:
DETAILEDDESCRIPTION OF WORK:
REROOF-TEAR OFF-INSTALL LINDERLAYMENT-INSTALL SHINGLES
CONSTRUCTION INFORMATION:
Additional work to be pertormed under this permit—check all that appy:
HVAC Gas Tank FiGas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers E]Generator g Roof
Total Sq. Ft of Construction: 1955 S . Ft.of First Floor:
Cost of Construction:$ 8600 Utilities:]Sewer Septic Building Height: 1
OWNER/LESSEE: ;',CONTRACTOR:
Name264 Mainsail LLC Name: BRIAN MALONEY
Address:12192 Riverbend Ln Company: TREASURE COAST ROOFING
City: Port St Lucie State:FL Address: 1816 SW BILTMORE ST
Zip Code: 34984 Fax: City: PORT SAINT LUCIE State:FL
Phone No. Zip Code: 34984 Fax: 7723438358
E-Mail: Phone No. 7723709770
Fill in fee simple Title Holder on next page(if different E-Mail: TCROOFINGLLC@GMAIL.COM
from the Owner listed above) State or County License: CCC1330653
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name' Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
1 certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
--<,7 S
_Signature of er/Lesse t Signatur of Contrac icense Hol
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFST LUCIE COUNTY OFST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 ( by this day of u 6120 by
ROBERT BRU1`41(E ROBERT BRUNKE
(Name of pers a no d ' g) (Name of perso c ledgin )
(Sig"nat f ry ublic-State of Florida) (Sign ry Public-State of Florida)
\\4'tiE9i{9Y31J!lli; \iiiii9f411f1fJd/.
Person Ily Known X OR Produced�,(��r �il;� ri — Personally Known X OR Produced Idi��p�+ itrm '
Type of Identification Produced �_ enMlss�,:•.�.�`% Type of Identification Produced
� 20 • s * °•°moi°�yy J p��L��•C�`
Commission No. 122434 — Seal) ; = Commission No. 122434 eal)rn
co M
��A m tided 1h e °P a �,o° /owed •�
Revised 07/15/2014 �9/G6 �NSer�,°'Q\�\\\� "• GB'°N�/arySeMces �P
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS